Prospective Preferred Vendor Application

Once your request for participation is received, you will be contacted regarding your submission by email. Our office will make further
contact based on matching the Prospective Vendor‘s products and services with our Franchises requests on categories that are congruent
to their business needs.

Contact Information

Company Name

Company Address

Company Website

Contact Name

Title

Contact Phone Number

Contact Email Address

Product/Service Details

Products/Services Provided

Other Services Provided

Are you able to provide your products and services Nationwide?

Yes
No

Which states are you able to service?

Can you provide products and services to Canada?

Yes
No

Does your company have locations in Canada?

Yes
No

What cities are they located?

Are you willing to sign a 3 year Approved Supplier Agreement/Contract?

Yes
No

Are you willing to offer a price guarantee to SERVPRO® Franchises for the term of the contract (contract term is for three-years)?

Yes
No

Will Franchises have to enter into a local agreement to receive your product or services?

Yes
No

What price incentives is your company prepared to offer as part of the Preferred Vendor Program which services over 1,700 SERVPRO® Franchises?

What referral incentives will your company provide to the Resource Center in exchange for access to our network of 1,700 Franchises?

If you have any documentation that you need to submit, please attach it here.

Referral/Franchise Information

Were you referred by a Corporate or Franchise Employee?

Yes
No

Referral Name

Referral Phone

Are you currently providing products/services to SERVPRO® Franchises?

Yes
No

If applicable, please provide the Franchise Name(s), Contact Name(s), Contact Number(s), and how long you have been providing your products or services to SERVPRO® Franchises.